HomeMy WebLinkAboutMortgage_Terry (2)—"'� STATEMENTOFMORTGAGE OR CONTRACT INDEBTEDNESS Coun Township Year
,__ _+ FOR DEDUCTION FROM ASSESSED VALUATION
• State Fam 43709 (R71 / 6-09)
�` ,�,� � Presai0etl by Departme(rt of Local GovemmeM Fnance
File Mark
�STRUCT70NS: , �^
y Fo wi
To 6e filed in person or by mail with Ihe CountyAuditw w County Recorder of the county whe2 Ihe property te�. �,
Filing Dates: 7) Real Pmperty: Must file during the year /or which fhe deduction is soughL j un uditw �
2) Mo6ile / Manufactured Homes not assessed as Real Property: Must h7e dunng the hveNe (12) months
6efom March 31 of each year the deduction is sought D EC 1 �� �nty Recorder __ __ __ i
See reverse side for addiWnal instn�ctions and qualifications.
MP��{ (ownerorcontrarl6uyzr �e resLirlion� wr rere�e side). A �./ C.1. fM.Y3—'
�a
m
M, WI1at 6 M15 / IMf BY2f2 5�1319 O� YIiCf25l�
If name m remN 5 QRferen� Uan Nat o( apP����• �irate bebw
Name m rtnrtgagee w
Un� of Mortgage / Contra�t
date o( applkation
Addtess of mM9agee w contratl seller (n�wMe� and sbeet crty, slate, aM ZIP code)
Name of assignee or other owner w hdder of mortgage
(number a� sneeG riry. s+ate, aM
GIBSON
or epuRade mvne/?
❑ Yes ❑ No
rrr'_
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❑ Rea� a'oaenv ❑ /+����N �
Does applimnt own property in any oNer If yes. what mun Wtat Tad D'atriU? Has Na deEUCtion Eeen repuested on p�operty
N1 �9
munry in IMiara? n Yes ❑ No tw a�rent yeaR ❑ Ves ❑ No